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on our medicare. what do you think will be in the final bill in terms of administrative changes that will improve the efficiency of the system? how can that be pitched so people don't perceive these as medicare tcuts? you have to take 25 year time horizons. why do we have the entire economics profession raid against the idea that prevention will pay? >> i want to take on the second one first. the prevention one is a curious discussion, because there are a bunch of things we can do on the prevention side. 99% of the attention to this discussion has been on detecting disease. the primary goal of doing disease detection is not to save money. the primary goal is to intervene earlier to make sure people have healthier lives and hopefully live longer. there are other forms of prevention averting disease in the first place, i talked about this in terms of making sure people who are pre-diabetic don't become diabetic. we have random trials that show that these work. we now do that in community- based settings
on our medicare. what do you think will be in the final bill in terms of administrative changes that will improve the efficiency of the system? how can that be pitched so people don't perceive these as medicare tcuts? you have to take 25 year time horizons. why do we have the entire economics profession raid against the idea that prevention will pay? >> i want to take on the second one first. the prevention one is a curious discussion, because there are a bunch of things we can do on the...
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he was on medicare. medicare paid most of that, but his only income was social security at that time. there was not a reserve. we made an agreement with the hospital to pay a small amount per month over time. he did have some income. we could assist with that. so the principle is, i think, in common practice for people cannot pay, they do not pay, but where people have the ability to pay toward those averages that most hospitals will make an arrangement for payments over time. host: why did you become a hospital a administrator? guest: it probably all started when my father was hospitalized when i was a teenager. i never really had any interest in madison, but i saw what the doctors and the nurses were able to do, not only for him physically but for his anxiety and his well-being. i thought it would be neat if i could find a way to be part of that. and through a rather circuitous route, i finally came back to that many years later. host: time for two more calls. and medical professionals from north carol
he was on medicare. medicare paid most of that, but his only income was social security at that time. there was not a reserve. we made an agreement with the hospital to pay a small amount per month over time. he did have some income. we could assist with that. so the principle is, i think, in common practice for people cannot pay, they do not pay, but where people have the ability to pay toward those averages that most hospitals will make an arrangement for payments over time. host: why did you...
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on medicare? i see he's flying back from arizona. >> to vote on it. >> you don't let him beat us, carl. >> i voted this before. >> as i remember you waited for us to see if we had to have him. won't you do that today? >> i might. >> do that now, because we can't lose this one. this is one we can't lose. we got to have these old people and they think he's all over the country. and the polls show that's the most population we got. >> well. you agree to do what you did last time, wait and see. if we don't need you, do what you want to. but don't let us lose it and let the republicans win over me. >> i hate for that to happen. >> do like you did before. wait and see, if we don't have to have you, we don't. we hope we don't. >> we'll see. >> okay. thank you. >> l.b.j. and senate appropriations committee chairman and democrat carl hayden, talking about legislation under the debate in the senate on september 2nd, 1964. later that day, the shatt comes up with a tie vote on medicare and in this poll, l.b.j
on medicare? i see he's flying back from arizona. >> to vote on it. >> you don't let him beat us, carl. >> i voted this before. >> as i remember you waited for us to see if we had to have him. won't you do that today? >> i might. >> do that now, because we can't lose this one. this is one we can't lose. we got to have these old people and they think he's all over the country. and the polls show that's the most population we got. >> well. you agree to do...
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Sep 16, 2009
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medicare? >> about $200 billion comes from something over -- called productivity improvement. that means slowing the increases to hospitals and other providers by 1% a year. the hospital industry has said that it can live with slower rates of increase, around 1%. >> without damaging access? >> without damaging access or quality of care. spending is going up 6.5% a year, and we're talking about 5.5% a year. making improvements, adopting new technology, improving access and quality of care -- these are modest changes, and health system that is $2.50 trillion going to $5 trillion, 500 and billion dollars in savings, when we're talking about $40 trillion over 10 years? these are modest income -- fees are modest increases. they have said that they could do that. it's not going to harm the quality of the medicare program and it is going to be the high satisfaction of beneficiaries. greater choices of doctors, and medicare's track record of success will continue. >> let me ask about people under 65. y
medicare? >> about $200 billion comes from something over -- called productivity improvement. that means slowing the increases to hospitals and other providers by 1% a year. the hospital industry has said that it can live with slower rates of increase, around 1%. >> without damaging access? >> without damaging access or quality of care. spending is going up 6.5% a year, and we're talking about 5.5% a year. making improvements, adopting new technology, improving access and...
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he was on medicare. medicare paid most of that, but his only income was social security at that time. there was not a reserve. we made an agreement with the hospital to pay a small amount per month over time. he did have some income. we could assist with that. so the principle is, i think, in common practice for people cannot pay, they do not pay, but where people have the ability to pay toward those averages that most hospitals will make an arrangement for payments over time. host: why did you become a hospital a administrator? guest: it probably all started when my father was hospitalized when i was a teenager. i never really had any interest in madison, but i saw what the doctors and the nurses were able to do, not only for him physically but for his anxiety and his well-being. i thought it would be neat if i could find a way to be part of that. and through a rather circuitous route, i finally came back to that many years later. host: time for two more calls. and medical professionals from north carol
he was on medicare. medicare paid most of that, but his only income was social security at that time. there was not a reserve. we made an agreement with the hospital to pay a small amount per month over time. he did have some income. we could assist with that. so the principle is, i think, in common practice for people cannot pay, they do not pay, but where people have the ability to pay toward those averages that most hospitals will make an arrangement for payments over time. host: why did you...
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so that's 25% of medicare recipients will lose medicare advantage. so whatever doctors, whatever services they're getting will definitely be changed. that's an outright -- mr. gingrey: reclaiming my time. even if they wanted to keep it it would no longer be there for them because if you cut it to the bone, and this cut in medicare advantage is like 17% a year, the insurance companies that offer that product will just simply say, i'm sorry, you're going to have to -- we're shutting our doors and you have to find yourself a doctor who will accept you under medicare fee for service? mr. fleming: absolutely. secondly, as i described before, medicare and medicaid, the current government-run programs, and they only survive today because of the tremendous subsidy that's going on from private insurance, and even with that will run out of money in eight years. so we don't -- we haven't even solved that problem. but if you look at the fact that the current government-run programs are themselves being subsidized by private insurance, once you create this govern
so that's 25% of medicare recipients will lose medicare advantage. so whatever doctors, whatever services they're getting will definitely be changed. that's an outright -- mr. gingrey: reclaiming my time. even if they wanted to keep it it would no longer be there for them because if you cut it to the bone, and this cut in medicare advantage is like 17% a year, the insurance companies that offer that product will just simply say, i'm sorry, you're going to have to -- we're shutting our doors and...
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i will protect medicare. now, because medicare is such a big part of the health care system, making the program more efficient can help usher in changes in the way we deliver health care that can reduce costs for everybody. we have long known that some places like the intermountain health care in utah or the health system this in rural pennsylvania offer high quality care at costs below average. so the commission can help encourage the adoption of these commonsense best practices by doctors and medical professionals throughout the system. everything from reducing hospital infection rates to encouraging better coordination between teams of doctors. reducing the waste and inefficiency in medicare and medicaid will pay for most of this plan. much of the rest would be paid for with revenues from the very same drug and insurance companies that stand to benefit from tens of millions of new customers. this reform will charge insurance companies a fee for their most expensive policies which will encourage them to pro
i will protect medicare. now, because medicare is such a big part of the health care system, making the program more efficient can help usher in changes in the way we deliver health care that can reduce costs for everybody. we have long known that some places like the intermountain health care in utah or the health system this in rural pennsylvania offer high quality care at costs below average. so the commission can help encourage the adoption of these commonsense best practices by doctors and...
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so medicare administrative easy to deal with. medicare reimbursing not adequate. so that's the problem there. if everybody had medicare and medicare provided coverage, and that would include a margin -- i think mr. cole and dr. garrett talked about it yesterday. to allow capital reinvestment for equipment and things that we need, maintaining buildings and things like that, that has to be added in. i think in fairness, though, even if they provided enough, we have to change the fundamentals of how people are reimburse sod that incentives are appropriate both -- reimbursed so that incentives are appropriate for lifestyle and effective care on the physician and providers side. host: how quickly does the technology in an i.c.u. change? guest: often very rapidly. it's a very dynamic sort of thing. i think in the last maybe five years we've had some dramatically improved ability to monitor patients in real-time, to keep tabs of data and things like that. and that has really provided a more effective and i think more cost effective care. the technology costs money, but i
so medicare administrative easy to deal with. medicare reimbursing not adequate. so that's the problem there. if everybody had medicare and medicare provided coverage, and that would include a margin -- i think mr. cole and dr. garrett talked about it yesterday. to allow capital reinvestment for equipment and things that we need, maintaining buildings and things like that, that has to be added in. i think in fairness, though, even if they provided enough, we have to change the fundamentals of...
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i will protect medicare. now, because medicare is such a big part of the health care system, making the program more efficient can help usher in changes in the way we deliver health care that can reduce costs for everybody. we have long known that some places like the intermountain health care in utah or the health system this in rural pennsylvania offer high quality care at costs below average. so the commission can help encourage the adoption of these commonsense best practices by doctors and medical professionals throughout the system. everything from reducing hospital infection rates to encouraging better coordination between teams of doctors. reducing the waste and inefficiency in medicare and medicaid will pay for most of this plan. much of the rest would be paid for with revenues from the very same drug and insurance companies that stand to benefit from tens of millions of new customers. this reform will charge insurance companies a fee for their most expensive policies which will encourage them to pro
i will protect medicare. now, because medicare is such a big part of the health care system, making the program more efficient can help usher in changes in the way we deliver health care that can reduce costs for everybody. we have long known that some places like the intermountain health care in utah or the health system this in rural pennsylvania offer high quality care at costs below average. so the commission can help encourage the adoption of these commonsense best practices by doctors and...
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when i was at medicare, this is when this was first arose with medicare. to allow people, not when they are -- to allow people to have this discussion with their physician or their nurse practitioner or their family members, to try to help them think through what is an issue that individuals may face, being put in a position when they are not able to register their own will in turn is of how they would like to be treated, is an important part of life. it does not require people to have these discussions, just like medicare does not require people to have the hospice as a benefit. it allows it. i think it is a major empowerment for seniors, but any senior that does not want to have this discussion, either about a hospice benefit our advanced directive, may not do so, and that is why i find it so upsetting that there is this notion of death panels. >> i think that you said it beautifully. as a geriatrician, i have to comment, because what people don't often appreciate is that the vast majority of people don't really understand what kind of care is available
when i was at medicare, this is when this was first arose with medicare. to allow people, not when they are -- to allow people to have this discussion with their physician or their nurse practitioner or their family members, to try to help them think through what is an issue that individuals may face, being put in a position when they are not able to register their own will in turn is of how they would like to be treated, is an important part of life. it does not require people to have these...
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this doesn't cut any medicare benefits. it does not cut medicare benefits. in fact, as i'll mention in a minute it expands some medicare benefits, especially with respect to prescription drugs. so those are three areas that have gotten a lot of attention and where there's been a lot of misinformation that at outset i want to get the facts straight, and what does the bill do? it fills in the gaps in our current health insurance system which as you well know as we've talked about is already fairly fragmented. we have medicare for now 45 million americans. we do have the children's health insurance program for kids in millions of american families. we have the medicaid program for the indigent, but that still leaves, as i said, over 45 million americans during the course of a year who have no health coverage, so we want to work with the current system and fill the gaps which means as the present has said that if like your current coverage, your employer coverage, first of all, i said medicare it's not -- it's not touched except for it's enhanced. i'm going to t
this doesn't cut any medicare benefits. it does not cut medicare benefits. in fact, as i'll mention in a minute it expands some medicare benefits, especially with respect to prescription drugs. so those are three areas that have gotten a lot of attention and where there's been a lot of misinformation that at outset i want to get the facts straight, and what does the bill do? it fills in the gaps in our current health insurance system which as you well know as we've talked about is already...
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and you said, medicare. the question is, isn't it obvious -- there are many cases to be made for national health insurance, especially the morale imperative. but wouldn't you say that simplifying -- getting rid of the private insurers ultimately would simplify and save so much administrative costs and that your job would be much easier and we could lower that $3,500 a day i.c.u. cost by just cutting out all of these insurance and reimbursement challenges that we deal with every day and extracting the profit? wouldn't you be a single payer advocate, sir? thank you. guest: , well, a couple of things. i said that administratively medicare was easiest to deal with. they only provide about 80 cents of the dollar of our costs. so if we have a hospital that has 100% medicare, we would probably be out of business in a relatively short amount of time. so medicare administrative easy to deal with. medicare reimbursing not adequate. so that's the problem there. if everybody had medicare and medicare provided coverage,
and you said, medicare. the question is, isn't it obvious -- there are many cases to be made for national health insurance, especially the morale imperative. but wouldn't you say that simplifying -- getting rid of the private insurers ultimately would simplify and save so much administrative costs and that your job would be much easier and we could lower that $3,500 a day i.c.u. cost by just cutting out all of these insurance and reimbursement challenges that we deal with every day and...
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medicare. now, 1/3 don't. therefore, you could argue that medicare doesn't underpay. we've got a bunch of inefficient hospitals. okay. now let's agree it's going to be hard to do reform. let's assume demint wins and we do nothing. we still have the medicare problem. we'll go to the hospitals and do what? take money from them without covering people. good luck with that. really, really, really, good luck with that. there's only one way to do this and that is together. you have got to figure out it is a moral question to cover people. it is also, let's be frank, a bribe. it is a bribe by time so that our hospitals can become as efficient as we need them to be because that is the only way we are going to be in that cost growing. you are not going to get that time without investing there. what's interesting to me, in fact the best part of the president's speech the other night was the linkage between his commitment to, he said spending, he means coverage expansion. the linkage to that realized savi
medicare. now, 1/3 don't. therefore, you could argue that medicare doesn't underpay. we've got a bunch of inefficient hospitals. okay. now let's agree it's going to be hard to do reform. let's assume demint wins and we do nothing. we still have the medicare problem. we'll go to the hospitals and do what? take money from them without covering people. good luck with that. really, really, really, good luck with that. there's only one way to do this and that is together. you have got to figure out...
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medicare is broke. medicaid is broke. they're going to be -- they're trillions of dollars in unfunded mandates there. so you got to find a different solution and you have to start over. you have to listen to conservatives. you expect wing it in the -- can't wing it in the d.n.c. >> thank you. thank you for your comment. quite honestly, sir, as somebody who came into virginia that was deep in the red and left virginia with a budget surplus, i will match my fiscal credentials against anybody in washington or that matter anybody in virginia. as somebody who got virginia -- the best managed state in america and has spent a career in business, i agree with you, sir. we got to do something about this deficit. part of the points that i pointed out was -- sir, give me the respect of answering -- was that our current system. you said it, medicare is not sustainable unless we change our financial incentives. what guides me arounds mcreform will be back to this gentleman's cost here. it has to be paid for, expect add to the deficit
medicare is broke. medicaid is broke. they're going to be -- they're trillions of dollars in unfunded mandates there. so you got to find a different solution and you have to start over. you have to listen to conservatives. you expect wing it in the -- can't wing it in the d.n.c. >> thank you. thank you for your comment. quite honestly, sir, as somebody who came into virginia that was deep in the red and left virginia with a budget surplus, i will match my fiscal credentials against...
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i will protect medicare. now, because medicare is such a big part of the health care system, making the program more efficient can help usher in changes in the way we deliver health care that can reduce costs for everybody. we have long known that some places like the intermountain health care in utah or the health system this in rural pennsylvania offer high quality care at costs below average. so the commission can help encourage the adoption of these commonsense best practices by doctors and medical professionals throughout the system. everything from reducing hospital infection rates to encouraging better coordination between teams of doctors. reducing the waste and inefficiency in medicare and medicaid will pay for most of this plan. much of the rest would be paid for with revenues from the very same drug and insurance companies that stand to benefit from tens of millions of new customers. this reform will charge insurance companies a fee for their most expensive policies which will encourage them to pro
i will protect medicare. now, because medicare is such a big part of the health care system, making the program more efficient can help usher in changes in the way we deliver health care that can reduce costs for everybody. we have long known that some places like the intermountain health care in utah or the health system this in rural pennsylvania offer high quality care at costs below average. so the commission can help encourage the adoption of these commonsense best practices by doctors and...
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medicare. well, if you think the government is messing with your medicare, what you must not know is the government is medicare. that's who is administering your medicare right now. if you think the v.a. health care is good or medicare is good, then you will also see that a public option will be good. very important for people to understand this. let me also say this. and that is sometimes people on the other side of the aisle, i'm a democrat, the other guys, they say stuff like, i don't want government-run health care. and they make it sound like the government's bad. but in a democratic country, who is the government other than you and me? the government is the people. government of the people, by the people, for the people. in a democratic society, the government is us. if the government isn't functioning right, then we need to be more engaged to make it function right. we need to insist on lower costs, more efficiency. we need to be active citizens to make sure things go the way we want the
medicare. well, if you think the government is messing with your medicare, what you must not know is the government is medicare. that's who is administering your medicare right now. if you think the v.a. health care is good or medicare is good, then you will also see that a public option will be good. very important for people to understand this. let me also say this. and that is sometimes people on the other side of the aisle, i'm a democrat, the other guys, they say stuff like, i don't want...
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i'm happy with my medicare coverage. as a veteran, i also have tri- care for life of this supplement my medicare. thanks to last year's improvement in this program. i think health insurance reform is imperative for the future of our country. it'll make our economy much stronger in a better america. health insurance reform is essential to keep medicare strong for seniors like my wife, myself, and for my children for all the years to come. this reform bill does not, i repeat, does not cut medicare benefits like some people have been saying. it guarantees that we keep seeing our own doctor or doctors. i know that medicare has long- term challenges. i am glad that the democrats are doing something about it by making sure that the money -- >> [booing] >> this money in the medicare program, which goes to paying the seniors benefit and not paying the private insurance companies, keeping medicare solvent means that we can count on it for the rest of our lives. this bill also increase medicare benefits for the seniors. it closes
i'm happy with my medicare coverage. as a veteran, i also have tri- care for life of this supplement my medicare. thanks to last year's improvement in this program. i think health insurance reform is imperative for the future of our country. it'll make our economy much stronger in a better america. health insurance reform is essential to keep medicare strong for seniors like my wife, myself, and for my children for all the years to come. this reform bill does not, i repeat, does not cut...
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when i was at medicare, this is when this was first arose with medicare. to allow people, not when they are -- to allow people to have this discussion with their physician or their nurse practitioner or their family members, to try to help them think through what is an issue that individuals may face, being put in a position when they are not able to register their own will in turn is of how they would like to be treated, is an important part of life. it does not require people to have these discussions, just like medicare does not require people to have the hospice as a benefit. it allows it. i think it is a major empowerment for seniors, but any senior that does not want to have this discussion, either about a hospice benefit our advanced directive, may not do so, and that is why i find it so upsetting that there is this notion of death panels. >> i think that you said it beautifully. as a geriatrician, i have to comment, because what people don't often appreciate is that the vast majority of people don't really understand what kind of care is available
when i was at medicare, this is when this was first arose with medicare. to allow people, not when they are -- to allow people to have this discussion with their physician or their nurse practitioner or their family members, to try to help them think through what is an issue that individuals may face, being put in a position when they are not able to register their own will in turn is of how they would like to be treated, is an important part of life. it does not require people to have these...
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it will put medicare on a sounder financial footing, cutting waste and fraud. i want a health care that works as well for the american people as it does for the insurance industry. [cheers and applause] they should be free to make a profit but they also have to be fair and accountable. that is what we are talking about. security and stability for folks who have health insurance, coverage for those that do not. bringing costs under control. that is the reform that is needed, the reform that we are fighting for. that is why it is time to do what is right, put up -- put aside partisanship, stop saying things that are not true, helped pass health insurance reform now, this year. [cheers and applause] . . to protect workers, your safety, you're right to bargain collectively. that is why some of the first executive orders i issued overturned that tends to stifle organized labor. that is why i support leveling the playing field to make it easier to form unions. when labor is strong, america is strong. when we all stand together, we all rise together. that is why the f
it will put medicare on a sounder financial footing, cutting waste and fraud. i want a health care that works as well for the american people as it does for the insurance industry. [cheers and applause] they should be free to make a profit but they also have to be fair and accountable. that is what we are talking about. security and stability for folks who have health insurance, coverage for those that do not. bringing costs under control. that is the reform that is needed, the reform that we...
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does medicare work? guest: medicare works, helps people. but you find in the new administration ideas that some of the medicare will be taken away and put in new programs. host: the president says that is not the case. guest: he says it is not, but up in new hampshire he talked about $177 billion for medicare advantage the goes to lower income people. he said it would go to another part of the program. i think senior citizens are concerned that their coverage will not be there. host: you have heard the argument that many who oppose a government-run health care get medicare or will be eligible for it, so what is the difference? what is medicare work in the public insurance option not? guest: medicare works because it is resources given to people who qualify. under the new system the government and a commission of a dozen people would decide what you could do if you went to the hospital. the idea is to shift away from people making their own decisions which is pretty much what we have today, to the idea that the government will make these dec
does medicare work? guest: medicare works, helps people. but you find in the new administration ideas that some of the medicare will be taken away and put in new programs. host: the president says that is not the case. guest: he says it is not, but up in new hampshire he talked about $177 billion for medicare advantage the goes to lower income people. he said it would go to another part of the program. i think senior citizens are concerned that their coverage will not be there. host: you have...
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we should use any medicare savings to make medicare stronger. now, the second way to pay the bill -- for these bills that we've been seeing in the house and senate -- is to shift the cost to the states. this is done by expanding the medicaid program, which is the largest government-run program we have today. almost 60 million americans, low-income americans, have their health care from the medicaid program, which is paid for -- about 60% by the federal government and about 40% by the states. the plans we've been hearing about have the federal government expanding medicare -- medicaid coverage. this is the state plan i was talking about. expanding medicaid coverage from 60 million to 80 million or 90 million people. and after a few years asking the states to pick up their additional share of the cost of that expansion. according to the national governors' association, expanding medicaid to 133% of the federal poverty level would cost the states an additional $331 billion a year. and although details are still lacking -- we may find out more today
we should use any medicare savings to make medicare stronger. now, the second way to pay the bill -- for these bills that we've been seeing in the house and senate -- is to shift the cost to the states. this is done by expanding the medicaid program, which is the largest government-run program we have today. almost 60 million americans, low-income americans, have their health care from the medicaid program, which is paid for -- about 60% by the federal government and about 40% by the states....
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what happens to medicare on that date? >> this is the day on which the ways and means committee voted affirmatively to pass medicare. this does take us 40 bid into 1965. the electoral changes did make a big difference -- this does take us forward a bit into 1965. the electoral changes did make a big difference. the old adage back in 1964 and even in 1962, when kennedy was pushing for medicare, was that we need the 13th vote. they did better than that. they ended up with 17 votes on that date in favor of medicare. wilbur mills saw that immediately. he is making speeches in late 1964, after the election, to chambers of commerce and various groups back in arkansas where he goes on record saying, i am going to go for medicare. his influence was just the strong. >> we will wrap up with you after these next few calls. gore sr. on october 2, 1964. >> i made a statement which i hope does not indiscrete. i want to tell you about it. i said that this, in my opinion, that this will permit you to go to the people who seek a mandate, w
what happens to medicare on that date? >> this is the day on which the ways and means committee voted affirmatively to pass medicare. this does take us 40 bid into 1965. the electoral changes did make a big difference -- this does take us forward a bit into 1965. the electoral changes did make a big difference. the old adage back in 1964 and even in 1962, when kennedy was pushing for medicare, was that we need the 13th vote. they did better than that. they ended up with 17 votes on that...
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reform and reengineered medicare and medicare services which are not in this bill. second, true reform of the private insurance system to allow competitiveness and increase access for small business and individuals, and the thing that has not been addressed here is meaningful, medical liability reform which is necessary to free our provider so they can function and do their job. one doctor in my district said who is going to sue me now? is the government going to sue me? without all three of the things i mentioned, we fail in our shared goal. this is not about politics and partisanship. it is about human lives. we are talking about spending well over a trillion dollars to get the bill and the public plan started, and we do not know what we are going to get in the long term. we do not have the details or the facts in front of us today because the process is being hurried along by artificially imposed timetables by people who have never worked in a professional health care world in their lives. this legislation will have generational impact. we have to take the time t
reform and reengineered medicare and medicare services which are not in this bill. second, true reform of the private insurance system to allow competitiveness and increase access for small business and individuals, and the thing that has not been addressed here is meaningful, medical liability reform which is necessary to free our provider so they can function and do their job. one doctor in my district said who is going to sue me now? is the government going to sue me? without all three of...
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on our medicare. what do you think will be in the final bill in terms of administrative changes that will improve the efficiency of the system? how can that be pitched so people don't perceive these as medicare tcuts? you have to take 25 year time horizons. why do we have the entire economics profession raid against the idea that prevention will pay? >> i want to take on the second one first. the prevention one is a curious discussion, because there are a bunch of things we can do on the prevention side. 99% of the attention to this discussion has been on detecting disease. the primary goal of doing disease detection is not to save money. the primary goal is to intervene earlier to make sure people have healthier lives and hopefully live longer. there are other forms of prevention averting disease in the first place, i talked about this in terms of making sure people who are pre-diabetic don't become diabetic. we have random trials that show that these work. we now do that in community- based settings
on our medicare. what do you think will be in the final bill in terms of administrative changes that will improve the efficiency of the system? how can that be pitched so people don't perceive these as medicare tcuts? you have to take 25 year time horizons. why do we have the entire economics profession raid against the idea that prevention will pay? >> i want to take on the second one first. the prevention one is a curious discussion, because there are a bunch of things we can do on the...
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Sep 18, 2009
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can medicare change? well, congress is the board of directors for medicare. the administration oversees this. they could instruct medicare to begin to pay for value in three years. take a three-year run-in, define what value is, begin to measure it, become transparent about the measurements and start to pay for the higher value care. those providers that are getting better outcomes, better safety and better service with lower cost over time are kept in business. they are paid enough that they can keep in business and maybe grow. begin to shift the mindset here. and people will say that is an overwhelming task. i don't agree. it is not overwhelming in medicare started to focus on three to five medical conditions. the top most expensive medical conditions that all of us may have. like congestive heart failure, high blood pressure, stroke. that accounts for about 70% of all the spending in medicare today. and if you focus on three to five procedures that are the most expensive and for medicare that happens to be hip operations, knee operations. if we focus on th
can medicare change? well, congress is the board of directors for medicare. the administration oversees this. they could instruct medicare to begin to pay for value in three years. take a three-year run-in, define what value is, begin to measure it, become transparent about the measurements and start to pay for the higher value care. those providers that are getting better outcomes, better safety and better service with lower cost over time are kept in business. they are paid enough that they...
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system on the medicare situation. my husband has been ill for the last years and needs to be completely taken care of for the last year and a half. i have had to quit my job and stay home and take care of my husband, who cannot fend for himself. the problem with that is financing, of course, and the situation goes to being able to get out of the house to go to the grocery store. through the goodness of the v.a. they managed to get medicare to give five hours twice a week to send in a home healthcare system. bathe him if i request it and help with household chores, which is wonderful, but it's twice a week five hours each time. that allows enough time to get out of the house, do grocery shopping and approximate run errands. it is much better than nothing and i solely, truly appreciate it. but i understood through some conversations with trying to get these companies to scale back. because of financing, which is understandable. >> guest: the issue of non-skilled nursing care has been a challenge for medicare. the medica
system on the medicare situation. my husband has been ill for the last years and needs to be completely taken care of for the last year and a half. i have had to quit my job and stay home and take care of my husband, who cannot fend for himself. the problem with that is financing, of course, and the situation goes to being able to get out of the house to go to the grocery store. through the goodness of the v.a. they managed to get medicare to give five hours twice a week to send in a home...
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and medicare guide. if you're turning 65 or you're already on medicare, you should know about this card; it's the only one of its kind... that carries the aarp name -- see if it's right for you. you choose your doctor. you choose your hospital. there are no networks and no referrals needed. help protect yourself from some of what medicare doesn't cover. save up to thousands of dollars... on potential out-of-pocket expenses... with an aarp medicare supplement insurance plan... insured by united healthcare insurance company. call npt for your free information kit... and medicare guide and find out... how you could start saving. >>> iran has successfully tested long range missiles that could hit u.s. military bases in the middle east. iran's state run tv reports the country tested two missiles overnightx that could hit thes targets. they also tested several others over the weekend. >>> the philippines is asking for international help to deal with deadly flooding. at least 140 people have died already. the
and medicare guide. if you're turning 65 or you're already on medicare, you should know about this card; it's the only one of its kind... that carries the aarp name -- see if it's right for you. you choose your doctor. you choose your hospital. there are no networks and no referrals needed. help protect yourself from some of what medicare doesn't cover. save up to thousands of dollars... on potential out-of-pocket expenses... with an aarp medicare supplement insurance plan... insured by united...
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in contrast, medicare part b program ranked fifth. humana also ranked as the fastest payer to physicians. with the medicare part b program, again, ranking in fifth place. the subcommittee also asked how we address that humana makes coverage decisions. let me summarize. coverage decisions are based on evidence-based medical criteria, developed and approved by physicians. under our policy, a nurse or a nonclinician can authorize any service that's under review. however, only a licensed board certified physician medical director can issue a denial based on a medical criterion. to the extent that a practicing physician disagrees with the decision, there are timely, internal appeal processes allowing peer to peer input. these grievance and appeal processes are governed by state and federal regulations. internal appeal decisions can be further appealed to an independent, external review entity whose decision is binding on humana. humana has worked effectively over the past few years to streamline and simplify our administrative practices. w
in contrast, medicare part b program ranked fifth. humana also ranked as the fastest payer to physicians. with the medicare part b program, again, ranking in fifth place. the subcommittee also asked how we address that humana makes coverage decisions. let me summarize. coverage decisions are based on evidence-based medical criteria, developed and approved by physicians. under our policy, a nurse or a nonclinician can authorize any service that's under review. however, only a licensed board...
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and you said, medicare. the question is, isn't it obvious -- there are many cases to be made for national health insurance, especially the morale imperative. but wouldn't you say that simplifying -- getting rid of the private insurers ultimately would simplify and save so much administrative costs and that your job would be much easier and we could lower that $3,500 a day i.c.u. cost by just cutting out all of these insurance and reimbursement challenges that we deal with every day and extracting the profit? wouldn't you be a single payer advocate, sir? thank you. guest: , well, a couple of things. i said that administratively medicare was easiest to deal with. they only provide about 80 cents of the dollar of our costs. so if we have a hospital that has 100% medicare, we would probably be out of business in a relatively short amount of time. so medicare administrative easy to deal with. medicare reimbursing not adequate. so that's the problem there. if everybody had medicare and medicare provided coverage,
and you said, medicare. the question is, isn't it obvious -- there are many cases to be made for national health insurance, especially the morale imperative. but wouldn't you say that simplifying -- getting rid of the private insurers ultimately would simplify and save so much administrative costs and that your job would be much easier and we could lower that $3,500 a day i.c.u. cost by just cutting out all of these insurance and reimbursement challenges that we deal with every day and...
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that is medicare. it makes you wonder if it is much cheaper to cover the drug than it is for a transplant she is coming up to her third transplant. that is not make sense either. when we look at examples of how to save, let's look at the patient's viewpoint. there are ways to solve every one of these examples. i am here to say we need to do this. we need to make sure we have the uninsured and underinsured having access to affordable and portable health insurance. the mayo clinic's position on this is that we would be viewing the idea of insurance as a mandate. everybody should have it. i know people do not like the word mandate. let's change that word. but if everybody insured. do not want to argue but the issue. people need to get to a stable condition more people have insurance and they do not have to go broke over it and be concerned about lack of access to good insurance. we feel individuals should own their own insurance. it is portable. if they can take it wherever they need to go. they are not l
that is medicare. it makes you wonder if it is much cheaper to cover the drug than it is for a transplant she is coming up to her third transplant. that is not make sense either. when we look at examples of how to save, let's look at the patient's viewpoint. there are ways to solve every one of these examples. i am here to say we need to do this. we need to make sure we have the uninsured and underinsured having access to affordable and portable health insurance. the mayo clinic's position on...
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aaron told this committee he had been enrolled in medicare. had he been enrolled in medicare, he would have received his bone marrow transplant right away. government run medicare provides health to senior citizens, standardized forms, a minimum cost. a fraction of yours. i'd like to go down the line and answer this question. isn't it true that your reason for not adopting the medicare standards as your own is that you could not deny payment for expensive treatments like the one i referred to. mr. collins? >> i can't answer that. i'm not familiar with the medicare guidelines. >> like him, i am not familiar -- >> miss farrell. >> i'm not familiar, either. >> nor myself. >> our chief medical officer used to be the chief medical officer of cms. had he been here, i'm sure he could have answered it. >> i'm glad you are here because i got a chance to ask about your town hall meetings and i'm really interest ed in that. >> i have the same problem everyone else mentioned, one of our chief medical officers could have answered that question. >> see, i m
aaron told this committee he had been enrolled in medicare. had he been enrolled in medicare, he would have received his bone marrow transplant right away. government run medicare provides health to senior citizens, standardized forms, a minimum cost. a fraction of yours. i'd like to go down the line and answer this question. isn't it true that your reason for not adopting the medicare standards as your own is that you could not deny payment for expensive treatments like the one i referred to....
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. >> are you on medicare? >> at that time, i was working for "the washington post," we had good insurance, would have covered most of it. it would have cost me out of pocket about $1,650. >> are you on medicare yet? >> yeah. >> now what would happen? >> first you'd have to go to a second doctor to agree it was necessary. i think i'd get the operation, i don't know what it would cost. i don't know -- you can't tell in america. you know. >> give us another example of a doctor you visited about the shoulder. what about japan? >> that was the widest choice of care. i went to a famous orthopedic clinic at a university hospital there, very prestigious clinic, called up, said can i get an appointment, my shoulder hurts. they said can you come in this afternoon? they don't have waiting lines. that afternoon, i was in the office of a famous orthopedic surgeon he did something no other doctor in the world did he called up my condition on his computer and read about it while he was treating me, which was reassuring to me
. >> are you on medicare? >> at that time, i was working for "the washington post," we had good insurance, would have covered most of it. it would have cost me out of pocket about $1,650. >> are you on medicare yet? >> yeah. >> now what would happen? >> first you'd have to go to a second doctor to agree it was necessary. i think i'd get the operation, i don't know what it would cost. i don't know -- you can't tell in america. you know. >> give...
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we have medicare partd. when we started to go into this we said there are only two people in wyoming produce pharmaceuticals. what will i do if wyoming winds up without a provider? one of these solutions was thrown out there was having a program that would be done by the government that would be a backup in case there were not two companies that provided the insurance. we provided a lot of incentives for people to do it and i never had to worry about that because 49 companies wanted the business in wyoming. we went fromtwo to 49. it brought down the prices by 37% before it started. it has been below ever since it started. every time i went around the state and i did a bunch of town hall meetings to get people to sign up for this. if you don't sign up, then you start paying a penalty. i am pleased that my amin was one of the record states for a signing up, -- i am pleased that wyoming was one of the record states for signing up. their first question was how come i cannot get the drugs i want? how come i can i
we have medicare partd. when we started to go into this we said there are only two people in wyoming produce pharmaceuticals. what will i do if wyoming winds up without a provider? one of these solutions was thrown out there was having a program that would be done by the government that would be a backup in case there were not two companies that provided the insurance. we provided a lot of incentives for people to do it and i never had to worry about that because 49 companies wanted the...
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guest: medicare originally. it is certainly, like much of everything else, continues to evolve and certainly get more complex with each step. of course, the folks sitting around looking at things like code have very good reasons, i know, for wanting to make the changes they make. but it certainly presents a lot of challenges from a technical standpoint. host: medicare and medicaid comes up with a new procedure or new regulation, do they provide software technology at all or just get the procedure and you have to develop the software? guest: essentially, the regulations are developed and become available. for most of us in theÑi hospita, we don't develop our own software, we rely on vendors to do that for us. so vendors, then, have the responsibility and this is included in your support fees, huge support fees, i might add, that you pay. those vendors are responsible for getting those kind of regulations, regulatory changes made to the software, make those updates available to you in a timely manner. and so if y
guest: medicare originally. it is certainly, like much of everything else, continues to evolve and certainly get more complex with each step. of course, the folks sitting around looking at things like code have very good reasons, i know, for wanting to make the changes they make. but it certainly presents a lot of challenges from a technical standpoint. host: medicare and medicaid comes up with a new procedure or new regulation, do they provide software technology at all or just get the...
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they're mostly wereried about losing medicare, particularly medicare advantage, that program is being cut 17% per year over the next 10 years, i think $170 billion taken out of that one program where 20% of seniors, by the way, like that so much that that's what they choose to receive their health care is medicare advantage, not medicare fee for service. people are outraged and they are so frustrated that powerful members of congress are not listening to them. and it's not always their member. but it's the leadership. it's the committee chairs that have control over significant pieces of legislation such as the america's affordable health choices act of 2009, h.r. 1249. they know that mr. waxman is chairman of the energy and commerce committee, where most of the bill was written. they know that representative charles rangel from new york, long-serving member since 1971, chairs the most powerful ways and means committee. they the that george miller, the gentleman from california, long-serving senior member, chairs the education and labor committee. they're very frustrated, they want to
they're mostly wereried about losing medicare, particularly medicare advantage, that program is being cut 17% per year over the next 10 years, i think $170 billion taken out of that one program where 20% of seniors, by the way, like that so much that that's what they choose to receive their health care is medicare advantage, not medicare fee for service. people are outraged and they are so frustrated that powerful members of congress are not listening to them. and it's not always their member....
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and you said, medicare. the question is, isn't it obvious -- there are many cases to be made for national health insurance, especially the morale imperative. but wouldn't you say that simplifying -- getting rid of the private insurers ultimately would simplify and save so much administrative costs and that your job would be much easier and we could lower that $3,500 a day i.c.u. cost by just cutting out all of these insurance and reimbursement challenges that we deal with every day and extracting the profit? wouldn't you be a single payer advocate, sir? thank you. guest: , well, a couple of things. i said that administratively medicare was easiest to deal with. they only provide about 80 cents of the dollar of our costs. so if we have a hospital that has 100% medicare, we would probably be out of business in a relatively short amount of time. so medicare administrative easy to deal with. medicare reimbursing not adequate. so that's the problem there. if everybody had medicare and medicare provided coverage,
and you said, medicare. the question is, isn't it obvious -- there are many cases to be made for national health insurance, especially the morale imperative. but wouldn't you say that simplifying -- getting rid of the private insurers ultimately would simplify and save so much administrative costs and that your job would be much easier and we could lower that $3,500 a day i.c.u. cost by just cutting out all of these insurance and reimbursement challenges that we deal with every day and...
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that is medicare. it makes you wonder if it is much cheaper to cover the drug than it is for a transplant she is coming up to her third transplant. that is not make sense either. when we look at examples of how to save, let's look at the patient's viewpoint. there are ways to solve every one of these examples. i am here to say we need to do this. we need to make sure we have the uninsured and underinsured having access to affordable and portable health insurance. the mayo clinic's position on this is that we would be viewing the idea of insurance as a mandate. everybody should have it. i know people do not like the word mandate. let's change that word. but if everybody insured. do not want to argue but the issue. people need to get to a stable condition more people have insurance and they do not have to go broke over it and be concerned about lack of access to good insurance. we feel individuals should own their own insurance. it is portable. if they can take it wherever they need to go. they are not l
that is medicare. it makes you wonder if it is much cheaper to cover the drug than it is for a transplant she is coming up to her third transplant. that is not make sense either. when we look at examples of how to save, let's look at the patient's viewpoint. there are ways to solve every one of these examples. i am here to say we need to do this. we need to make sure we have the uninsured and underinsured having access to affordable and portable health insurance. the mayo clinic's position on...
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accept medicare and medicaid. host: some critics have said that if you ensure everyone, the demand to go to the doctor will be so high that doctors will not be able to see their patients. guest: once you give someone an insurance card, the use is very high. we have seen that in maryland. the state of maryland recently increased the ability for people. 20,000 people came into the system. i can assure you they use a tremendous number of resources in the first couple of years there in the plan because they have not have health care. you see the same things in medicare. when they become a medicare recipient, they use a disproportion number of services. host: next call from new jersey. caller: i look at it this way. we live in the richest country in a world. everyone is talking about abortion in this and that. if you want to save a life, save the living. when i went to have my first child, my husband said to me, if it came between me and that baby, let the baby go. i need you. i'm going to tell you something. we cannot
accept medicare and medicaid. host: some critics have said that if you ensure everyone, the demand to go to the doctor will be so high that doctors will not be able to see their patients. guest: once you give someone an insurance card, the use is very high. we have seen that in maryland. the state of maryland recently increased the ability for people. 20,000 people came into the system. i can assure you they use a tremendous number of resources in the first couple of years there in the plan...
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reform and reengineered medicare and medicare services which are not in this bill. second, true reform of the private insurance system to allow competitiveness and increase access for small business and individuals, and the thing that has not been addressed here is meaningful, medical liability reform which is necessary to free our provider so they can function and do their job. one doctor in my district said who is going to sue me now? is the government going to sue me? without all three of the things i mentioned, we fail in our shared goal. this is not about politics and partisanship. it is about human lives. we are talking about spending well over a trillion dollars to get the bill and the public plan started, and we do not know what we are going to get in the long term. we do not have the details or the facts in front of us today because the process is being hurried along by artificially imposed timetables by people who have never worked in a professional health care world in their lives. this legislation will have generational impact. we have to take the time t
reform and reengineered medicare and medicare services which are not in this bill. second, true reform of the private insurance system to allow competitiveness and increase access for small business and individuals, and the thing that has not been addressed here is meaningful, medical liability reform which is necessary to free our provider so they can function and do their job. one doctor in my district said who is going to sue me now? is the government going to sue me? without all three of...
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start with the cuts in medicare, and he referred to the subsidies, as he calls them, to the medicare dennis plan. a lot of seniors, in fact, over 10 million seniors, 22% of the medicare eligible folks have medicare advantaged plans. arizona has one of the highest rates, about 39% of our medicare beneficiaries or enrolled in medicare in bennett's plan. under the estimates about a reduction in subsidies, about 7 million of those seniors will lose their medicare advantage plan. so as a direct result of policies in the legislation, people will lose the coverage that they now like and enjoy. if the government run plan is part of this legislation, a bipartisan, a nonpartisan recognized expert entity has estimated that over 88 million americans who are currently employed will lose their coverage at the job and be put into the government run plan feerick why? not because the government requires it, but because a penalty is established in the legislation economically. it makes sense for the employer to drop his expensive coverage and simply pay the penalty, which is much less than the cost of
start with the cuts in medicare, and he referred to the subsidies, as he calls them, to the medicare dennis plan. a lot of seniors, in fact, over 10 million seniors, 22% of the medicare eligible folks have medicare advantaged plans. arizona has one of the highest rates, about 39% of our medicare beneficiaries or enrolled in medicare in bennett's plan. under the estimates about a reduction in subsidies, about 7 million of those seniors will lose their medicare advantage plan. so as a direct...
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i will tell you, people on medicare advantage, it helps coordinate your care, and medicare does not do a good job that. medicare advantage does a better job. could do a better job? sure, but to eliminate it, i think that is in a mistake. >> explain the vote in house committee. steve scalise was there. i will put it to steve. where is gene? >> right back there. >> in that committee, we have many amendments. i co-sponsored a number, including the amendment that would forestall members of congress to join the public plan, even though i do not like the idea of the plan. but germany where your mouth is. -- put your money wehre your -- where your mouth is. if you think it is a good plan, joining. and they all voted against that, every member who voted for the bill voted against that. but we did have an amendment on abortion. that was one built by one congressman to mandate abortion in the bill. there is a lot of dispute on whether abortion is in the bill. don't believe any politician in washington. the national right to life's expressed a strong opposition to h.r. 3200. it would predictably
i will tell you, people on medicare advantage, it helps coordinate your care, and medicare does not do a good job that. medicare advantage does a better job. could do a better job? sure, but to eliminate it, i think that is in a mistake. >> explain the vote in house committee. steve scalise was there. i will put it to steve. where is gene? >> right back there. >> in that committee, we have many amendments. i co-sponsored a number, including the amendment that would forestall...
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medicare is 3%. there is no marketing in medicare. they do not deny claims. the economic profit. that'll keep the administrative costs down host: shouldn't the doctors be allowed to make money? very few of them make several million dollars per year. guest: doctors here are the best paid doctors in the world. host: are they the best doctors in the world? guest: they are certainly the best educated. our results in terms of recovery rates for major diseases, kind of mediocre. neonatal deaths, we're the worst. we have a very good doctors, well-trained, high-tech medicine, but we are about equal to other countries. host: how much of this is the 11 million illegals that come to this country? they are given health care in and they are figured in these averages? guest: the reason the averages are low because the people who cannot get health care. you take recovery rates from lupus which is a chronic disease that strikes young women. it is a serious disease of modern medicine knows how to manage it. if you get the right care, you will live to be 75 years old. in other rich countries, they
medicare is 3%. there is no marketing in medicare. they do not deny claims. the economic profit. that'll keep the administrative costs down host: shouldn't the doctors be allowed to make money? very few of them make several million dollars per year. guest: doctors here are the best paid doctors in the world. host: are they the best doctors in the world? guest: they are certainly the best educated. our results in terms of recovery rates for major diseases, kind of mediocre. neonatal deaths,...
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reform and reengineered medicare and medicare services which are not in this bill. second, true reform of the private insurance system to allow competitiveness and increase access for small business and individuals, and the thing that has not been addressed here is meaningful, medical liability reform which is necessary to free our provider so they can function and do their job. one doctor in my district said who is going to sue me now? is the government going to sue me? without all three of the things i mentioned, we fail in our shared goal. this is not about politics and partisanship. it is about human lives. we are talking about spending well over a trillion dollars to get the bill and the public plan started, and we do not know what we are going to get in the long term. we do not have the details or the facts in front of us today because the process is being hurried along by artificially imposed timetables by people who have never worked in a professional health care world in their lives. this legislation will have generational impact. we have to take the time t
reform and reengineered medicare and medicare services which are not in this bill. second, true reform of the private insurance system to allow competitiveness and increase access for small business and individuals, and the thing that has not been addressed here is meaningful, medical liability reform which is necessary to free our provider so they can function and do their job. one doctor in my district said who is going to sue me now? is the government going to sue me? without all three of...
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Sep 7, 2009
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we have medicare partd. when we started to go into this we said there are only two people in wyoming produce pharmaceuticals. what will i do if wyoming winds up without a provider? one of these solutions was thrown out there was having a program that would be done by the government that would be a backup in case there were not two companies that provided the insurance. we provided a lot of incentives for people to do it and i never had to worry about that because 49 companies wanted the business in wyoming. we went fromtwo to 49. it brought down the prices by 37% before it started. it has been below ever since it started. every time i went around the state and i did a bunch of town hall meetings to get people to sign up for this. if you don't sign up, then you start paying a penalty. i am pleased that my amin was one of the record states for a signing up, -- i am pleased that wyoming was one of the record states for signing up. their first question was how come i cannot get the drugs i want? how come i can i
we have medicare partd. when we started to go into this we said there are only two people in wyoming produce pharmaceuticals. what will i do if wyoming winds up without a provider? one of these solutions was thrown out there was having a program that would be done by the government that would be a backup in case there were not two companies that provided the insurance. we provided a lot of incentives for people to do it and i never had to worry about that because 49 companies wanted the...
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Sep 3, 2009
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from medicare back into medicare to make it more solvent. in fact, we will increase its solvency by a number of years. and the other funding source, there are various different sources now being discussed, some of which are very unpopular. probably all of them are very unpopular because paying for things is generally not very popular. but the fact of the matter is to my we have, as you know, one funding suggestion in the house. really, no funding suggestion get out of the senate. a lot of discussion -- one of the discussions in the senate, of course, is the taxation of benefits, premiums that you pay. i do not think anyone is to what on that. social security and medicare, you're absolutely correct, they need to be addressed. i am a proponent of addressing the funding source of that they will be there because i believe the overwhelming of a -- the overwhelming majority of americans, not all of them, but i believe the overwhelming majority of americans strongly support social security and medicare. [cheers and applause] five numbers. 662. 406.
from medicare back into medicare to make it more solvent. in fact, we will increase its solvency by a number of years. and the other funding source, there are various different sources now being discussed, some of which are very unpopular. probably all of them are very unpopular because paying for things is generally not very popular. but the fact of the matter is to my we have, as you know, one funding suggestion in the house. really, no funding suggestion get out of the senate. a lot of...
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Sep 2, 2009
09/09
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host: to medicare patients had a smart card of any kind? guest: they do not, but they have identifiable information that would allow us, if they had been here very for, to be very quickly located in the system and to move along. host: only if they had been here but not in george washington or georgetown hospital in the district. guest: that is correct. host: we're talking about online medical records, medical privacy. if you have a question specifically about that issue. go ahead and dial in. it is/in short, uninsured, and medical professionals. if you called any c-span program in the last 30 days, please hold lot so that others can get in. what about the privacy issues when it comes to on-line medical records? guest: you have to respect the patient's right to privacy. obviously there are very strict rules and regulations in the hipa security and privacy rules? it was past several years back. it includes various safeguards, administrative, technical, and physical safeguards to secure patient information such that only those two who have bee
host: to medicare patients had a smart card of any kind? guest: they do not, but they have identifiable information that would allow us, if they had been here very for, to be very quickly located in the system and to move along. host: only if they had been here but not in george washington or georgetown hospital in the district. guest: that is correct. host: we're talking about online medical records, medical privacy. if you have a question specifically about that issue. go ahead and dial in....
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Sep 17, 2009
09/09
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we should use any medicare savings to make medicare stronger. now, the second way to pay the bill -- for these bills that we've been seeing in the house and senate -- is to shift the cost to the states. this is done by expanding the medicaid program, which is the largest government-run program we have today. almost 60 million americans, low-income americans, have their health care from the medicaid program, which is paid for -- about 60% by the federal government and about 40% by the states. the plans we've been hearing about have the federal government expanding medicare -- medicaid coverage. this is the state plan i was talking about. expanding medicaid coverage from 60 million to 80 million or 90 million people. and after a few years asking the states to pick up their additional share of the cost of that expansion. according to the national governors' association, expanding medicaid to 133% of the federal poverty level would cost the states an additional $331 billion a year. and although details are still lacking -- we may find out more today
we should use any medicare savings to make medicare stronger. now, the second way to pay the bill -- for these bills that we've been seeing in the house and senate -- is to shift the cost to the states. this is done by expanding the medicaid program, which is the largest government-run program we have today. almost 60 million americans, low-income americans, have their health care from the medicaid program, which is paid for -- about 60% by the federal government and about 40% by the states....
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Sep 5, 2009
09/09
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does not include the medicare changes. and and other issues that the finance committee has -- so that is not a full committee. i>> during the course of our conversation we have seen you consult your notes. what is it like for you -- how difficult is it for you to keep track of the debate and changes? >> it is very satisfying in a couple of levels because it is very interesting material. >> i was squeezing down at my notes and one of the insurance regulations that would change policy so that children under the age of 26 could be covered by the parents plan. that is an enormous change that would affect many people those gaps years when most people coming at a college do not have parents' insurance cannoand cant afford insurance at your own is when your mother st. -- screaming at the phone that you to get something, those slipped through the cracks in this warfare process, force raise coverage -- course race coverage -- horse race coverage that has taken over this debate. hopefully we can study that a little bit more in the m
does not include the medicare changes. and and other issues that the finance committee has -- so that is not a full committee. i>> during the course of our conversation we have seen you consult your notes. what is it like for you -- how difficult is it for you to keep track of the debate and changes? >> it is very satisfying in a couple of levels because it is very interesting material. >> i was squeezing down at my notes and one of the insurance regulations that would change...
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Sep 2, 2009
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guest: medicare originally. it continues to evolve like everything else and gets more complex with each step. the folks who are sitting around looking at things like the cuts had very good reasons -- codes have a very good reasons. it presents a lot of challenges. host: when medicare comes up with a new procedure or regulation, did they provide the software or technology at all? or did they give the procedure and you have to implement? guest: the regulations are developed and become available, and for most of us and hospitals, we do not develop our own software, we rely on vendors to do that for us. vendors have the responsibility -- and this is including your support sees -- this is included in the support these that you pay -- bayer responsible for the regulatory changes made to the software, making those updates available in a timely manner. if your in in development mode as an organization, that would be an enormous challenge. >> what is your budget? guest: our budget every year, operating budget, roughly $1
guest: medicare originally. it continues to evolve like everything else and gets more complex with each step. the folks who are sitting around looking at things like the cuts had very good reasons -- codes have a very good reasons. it presents a lot of challenges. host: when medicare comes up with a new procedure or regulation, did they provide the software or technology at all? or did they give the procedure and you have to implement? guest: the regulations are developed and become available,...